
In some cases, severe constipation can require immediate medical attention due to intestinal obstruction.
Risk factors for constipation include age; immobility; inadequate fluid and fiber consumption; recent surgery; and medications such as antihistamines, antidepressants, psychotropic meds, opioids, calcium channel blockers and antacids.
Exercise and mobility: Physical activity is one of the most important factors in preventing constipation. A minimum of 30 minutes of physical activity, five days per week, helps significantly. However, if age and poor health limit activity, then frequent, short periods of mobility and exercise are recommended. It is critical for this population to work on transfers from chair or bed to standing, to maintain strength and mobility.
Supplements: With a physician's approval, supplements such as Metamucil or Citrucel can be helpful. Stool softeners, suppositories or enemas may also be worth discussing with your doctor.
• For weight training, use light dumbbells, sandbag weights and resistance bands; begin with five to 10 repetitions and add one or two reps each session; alternate weight-training days with walking days.
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